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Lesley Brodie, M.d., P.c.
Adolescent and Children Mental Health Clinic/Center in Manchester Center, Vermont
NPI 1114347440

Lesley Brodie, M.d., P.c. is an Adolescent and Children Mental Health Clinic/Center based in Manchester, VT and is specialized in Adolescent and Children Mental Health. Lesley Brodie, M.d., P.c. practices in Manchester Center, VT. The NPI Number for Lesley Brodie, M.d., P.c. is 1114347440 and holds a License No. 042.0012150 (Vermont).

The current practice location address for Lesley Brodie, M.d., P.c. is 82 Elm Street, Manchester Center, VT and can be reached out via phone at 802-367-1068 and via fax at 802-367-1069.

Location: 82 Elm Street, Manchester Center, VT, 05254-0766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114347440
Provider Name
Lesley Brodie, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
82 Elm Street, Manchester Center, VT, 05254-0766
Phone Number
802-367-1068
Fax Number
802-367-1069
Provider Enumeration Date
04/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1019286 05 VT
institution
Provider Business Practice Location Address Details
Address
82 Elm Street
City
Manchester Center
State
Vermont
Zip
05255-9642
Phone Number
802-367-1068
Fax Number
802-367-1069
person
Provider Business Mailing Address Details
Address
82 Elm Street
City
Manchester Center
State
Vermont
Zip
05255-9642
Phone Number
802-367-1068
Fax Number
802-367-1069
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
042.0012150 (Vermont)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
042.0012150 (Vermont)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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